Taelor Baetz, PA

NPI 1881385656 · on the registry since 2023

Practice

Address: 415 Fairview Ave Ste 201
Ponca City, OK 74601
Phone: (580) 762-9355
Fax: (580) 762-9358
Organisation at this address: Dr. David M. Sparks, M.D., Pllc
Northern Oklahoma Regional Pediatric Clinic, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma